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A Resource Guide forInternationally EducatedMedical GraduatesInformation to help you plan your career in Manitoba

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Acknowledgements

The author sincerely thanks the many individuals who contributed to the accuracy of thisdocument by providing and verifying information and reviewing portions of this document. Theyinclude International Medical Graduates, and representatives from Manitoba Health, College ofPhysicians and Surgeons of Manitoba, University of Manitoba; Faculty of Medicine, Labour and

Immigration, and Red River College.

The author acknowledges Employment Projects of Winnipeg Inc. (EPW) and Karen Grant whodeveloped and wrote the initial information packages for International Medical Graduates.

Content in this resource guide has been adapted and updated from these initial documents.

Presentation of this document and settlement services information adapted from A ResourceGuide for Internationally-Educated Engineers: Information to help you plan an engineering or

engineering-related career in Manitoba. M.R. Friesen, for Manitoba Labour Immigration, 2006.

Written and compiled by Monica Wiest for Manitoba Labour and ImmigrationMarch 2007, revised December 2007

The purpose of this guide is to give newcomers a brief and general summary of helpfulinformation, services and organizations. We have tried to include the most recent informationthat we could find. However, information, websites, services and fees often change. Pleasecontact the organizations listed in this Resource Guide in order to get the full and latest details ontheir programs and services.

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Introduction

This Resource Guide is for immigrants in Manitoba who haveinternational medical doctorate qualifications, such as a medicaldegree, and work experience from outside of Canada. Since 2000,

164 physicians have immigrated to Manitoba. This number includes31 in 2004 and 39 in 2005. There may be more International Medical Graduates(IMGs) who came to Manitoba from other provinces.

This resource guide will help you as an immigrant professional to:

Understand the medical licensure process in Manitoba;

Get complete and clear information on the medical profession and the medicallicensure process in Manitoba; the organizations and stakeholders in thelicensure process; other health-related career options, and the support servicesavailable to you.

Use this information to set personal goals and make career plans for a medical or

related career in Manitoba; and,

Find the appropriate services that will help you to work as a professional, such asEnglish language training and employment support.

This resource guide also gives the Government of Manitoba better tools to work withimmigrants who have international medical credentials. Also, it helps theGovernment of Manitoba to understand immigrant professionals needs and tocreate more support services or programs in the future.

Most of the information in this document is for Canadian Citizensand Permanent Residents/Landed Immigrants. Services andfees may be different for refugee claimants or visa holders. Forup-to-date information, please contact the agencies andorganizations described in this Resource Guide.

The information in this guide is for the medical profession inManitoba only. Individual Canadian provinces or territories

regulate the medical profession. The process for international medical graduates toget a medical license is different in each province.

Most immigrant professionals settle in Winnipeg, so many of the support services inthis guide are for the area in or close to Winnipeg.

Please

takenote!

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The Internet is an excellent way to find more detailed information onmany of the programs and organizations in this guide. In Winnipeg,you can use computers with Internet access for no cost at:

Public Libraries (20 locations)

Province of Manitoba Employment Centres (1122 Henderson Hwy, 3338Portage Ave., 1031 Autumnwood Drive, 391 York Ave.)

University of Manitoba libraries (Bannatyne and Fort Garry campuses)

University of Winnipeg library (515 Portage Avenue)

Career and employment counselling services at the following 3 agencies areavailable when you register as a client. See section 5.2 for full contact informationfor these agencies.

Success Skills Centre (440-500 Portage Ave.)

Employment Projects of Winnipeg (990-167 Lombard Ave.)

International Centre of Winnipeg (406 Edmonton St.)

All telephone numbers in this guide are in Manitoba, unless otherwisenoted. The area code to call long distance in Manitoba is 204.

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Basic Settlement Services:

A good starting point to learn about services and programs forimmigrants to Manitoba is the Entry Program. This program is strongly

recommended for all newcomers and there is no charge to attend.

You will learn about

Employment working in Canada, where to get help to look for work, workplaceregulations, workplace culture, income tax

Daily Life services for immigrants, English language training, Newcomer Map, busschedules, money, banking, shopping, library membership

Laws family law, driving and alcohol laws, safety tips, police and legal services

Health finding a family doctor, accessing health services, emergency and non-emergency services, staying healthy, cultural adjustment

English language training - you can receive an appointment for the Canadian

Language Benchmarks (CLB) Assessment.

Register in person Monday to Thursday between 9 a.m. and 7 p.m. at:Room 400 - 259 Portage Avenue* Please take your immigration papers and medical card with you.

For more information call (204) 944-0133.

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These non-profit organizations also give information and assist with basicsettlement:

Welcome PlaceManitoba Interfaith Immigration Council

397 Carleton Street, Winnipeg, MB R3B 2K9Phone: 977-1000 Fax: 956-7548

Website: www.miic.ca

Offers servicesfor refugees.

International Centre2nd Level, 406 Edmonton Street, Winnipeg, MB R3B 2M2

Phone: 943-9158 Fax: 949-0734Website: www.international-centre.ca

Offers servicesfor newcomers,includingtranslation.

LAccueil francophone614, Rue Des Meurons, Winnipeg, MB R2H 2P9

Phone: 945-6220Website: www.franco-manitobain.org/accueil

Offers servicesfor Frenchspeakingnewcomers.

Jewish Child & Family ServiceC200-123 Doncaster Street, Winnipeg, MB R3N 2B2

Phone: 477-7430 Fax: 477-7450Website: www.jewishwinnipeg.org

Offers servicesfor Jewish andothernewcomers.
http://www.miic.ca/http://www.international-centre.ca/http://www.franco-manitobain.org/accueilhttp://www.jewishwinnipeg.org/http://www.jewishwinnipeg.org/http://www.franco-manitobain.org/accueilhttp://www.international-centre.ca/http://www.miic.ca/

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TABLE OF CONTENTS

1.0 FIRST STEPS ....................................................................................................11.1 Self-Assessment...................................................................................2

1.2 English Language Assessment.............................................................31.3 Register with the Credentials Recognition Program .............................6

Flowchart 1: Overview of Options................................................7

2.0 KEY ORGANIZATIONS AND STAKEHOLDERS IN MEDICAL TRAINING,LICENSURE AND PRACTICE IN MANITOBA..................................................9

2.1 General Overview of Licensing Process and Key Organizations...............10

Key Organizations and Stakeholders in the Licensing Process.....11

2.2

Training and Education.......................................................................12

2.3 Licensure ............................................................................................13

2.4 Practice and Other..............................................................................14

3.0 PATHS TO REGISTRATION & LICENSURE: ASSESSMENT AND TRAININGOPPORTUNITIES FOR INTERNATIONAL MEDICAL GRADUATES INMANITOBA......................................................................................................17

Flowchart 2: Assessment and Training Opportunities ...........18

3.1 Preliminary Steps towards Registration ..............................................193.2 Begin the Registration Process...........................................................20

3.3 Paths to Registration & Licensure.......................................................21

Conditional Registration ................................................................21

Postgraduate Residency Training (CaRMS)..................................31

Undergraduate Medical Degree ....................................................32

4.0 MEDICAL COUNCIL OF CANADA EXAMINATIONS AND STUDY

RESOURCES ..................................................................................................33

4.1 Medical Council of Canada Examinations...........................................34

4.2 MCCEE (Evaluating Examination) ......................................................35

4.3 MCCQE Part I (Qualifying Examination, Part I) ..................................37

4.4 MCCQE Part II (Qualifying Examination, Part II) ................................39

4.5 Study Resources ................................................................................40

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5.0 SUPPORT SERVICES AND RESOURCES ....................................................415.1 Improving English Language Skills .....................................................42

Summary of no-cost or low-cost EAL options for immigrants ........43

5.2 Employment Supports.........................................................................44

Employment Support Organizations for Immigrants ......................45

Job Search Websites and other Information..................................46

Assistance for Employers ..............................................................47

5.3 Ongoing Training and Professional Development...............................48

5.4 Networking..........................................................................................51

6.0

OTHER TRAINING AND CAREER OPTIONS IN ALLIED HEALTH ..............526.1 Alternative Careers in Allied Health ...................................................53

APPENDICES..................................................................................................56

Appendix A: Stakeholder Contact Information..................................................57

Appendix B: Regional Health Authorities of Manitoba......................................61

Appendix C: Translation Requirements and Services .....................................64

Appendix D: Curriculum Vitae and Resume Guidance.....................................66

Appendix E: Glossary of Acronyms..................................................................71

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Page 1

1.0 FIRST STEPS

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Section 1: Preliminary Steps

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1.1 Self-Assessment

The licensure process has many stages. It may be difficult for new immigrants tounderstand it. In the past 10 years, new ways to get medical licensure have beendeveloped to help International Medical Graduates (IMGs) to practice as physicians in

Manitoba. Read about assessments and opportunities in Section 3.

Before beginning the licensure process in Canada, you need to assess your ownsituation and think about these things:

There is no guarantee that you will get a license to practice in Canada.

Years out of practice: Based on the selection criteria for training or assessmentopportunities in Manitoba, if you have not practiced for a period of 3 out of 5 years,you should think about retraining in medicine (for example, Medical LicensureProgram for IMGs or postgraduate training). If you have not practiced for 5 years ormore, you should ask for advice about getting a different career.

English language and Canadian medical communication skills: To succeed inmedical exams, assessments and job interviews, you must speak, listen, read, andwrite in English. Also, you must understand the culture in the language and in thesituation you will practice medicine in. (See Section 1.1 for information on Englishlanguage assessment.) As well, it is important to understand the patient-centredapproach in medical communication and the application of medical law andethics (see Section 4.0).

According to research, Canadian graduates do better than IMGs in the MCC examsin the legal, ethical and organizational aspects of practicing medicine and psychiatry.These areas are very cultural. You need knowledge and experience with the legal,ethical and organizational aspects of clinical care in Canada. Therefore, you muststudy the document called Considerations of the Cultural-Communication, Legal,

Ethical and Organizational Aspects of Practicing Medicine(C2LEO) and learn aboutresources that will help you succeed in medical assessments and practice (seeSections 4 and 5).

Life circumstances: Pursuing licensure requires a large financial and personalcommitment. This includes a series of exams, credentialing, interviews,assessments, training, return of service agreements, time away from your family, andpostponement of your spouses career.

This list may stop some people from pursing their career. However, many IMGs aresuccessful because they work hard, and know how to study and network. Improvedopportunities and supports also help IMGs to meet their goals.

This list will help you examine your personal situation so you can make informed andrealistic decisions about how to proceed with your career in Manitoba.

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1.2 English Language Assessment

If English is not your first language, you should take an English language test beforeyou make decisions about a medical career in Canada. The test results can helpyou make an informed decision about a career path. It can also tell you if you needmore English language training to meet your goals.

Language testing is free for all immigrants, through the Government of Manitoba.The test is called Canadian Language Benchmarks Placement Test (CLBPT). InWinnipeg, you can take the test at the Winnipeg English Language Assessmentand Referral Centre (WELARC).

Who can take the test: Permanent residents, Canadian citizens born outsideCanada and refugee claimants. It does not matter how long you have lived inCanada.

The CLBPT assesses English language skills in 4 areas: listening, speaking,reading, and writing. Each skill is ranked from Benchmarks 1-12, but the CLBPT

measures only up to Benchmark 8.

Benchmark levels are grouped into 3 stages:

Stage 1 (Basic Proficiency): Canadian Language Benchmarks 1-4

A person at Benchmark 1 has little or no English.

At Benchmark 4, a person can communicate in common and predictablesituations, everyday activities, and familiar topics.

Stage 2 (Intermediate Proficiency): Canadian Language Benchmarks 5-8

In this range, a person develops the abilities to function independently in mostfamiliar situations (social, educational, work-related experiences), and insome less predictable situations.

College or University Studies: A person at Benchmark 8 is usually ready toconsider college or university studies. To enter a residency program, manydepartments require spoken and written fluency. As proof of this, you need adegree from an English-speaking university or a TOEFL score of at least 250on the computer-based test or 600 on the written test. (This is approximatelyBenchmark 8.)

Working in a Profession: There is no specific language requirement to enter

medical practice in Manitoba. The Canadian English Language BenchmarkAssessment for Nurses (CELBAN) is the first language assessment designedspecifically for internationally-educated nurses. To work successfully as anurse, a person should have Benchmarks 7 to 9. To work successfully inmedicine, similar language skills are needed.

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Stage 3 (Advanced Proficiency): Canadian Language Benchmarks 9-12

In this range, a person develops the abilities to communicate accuratelyand fluently in most situations (predictable and unfamiliar), and in generaland specific topics.

An average native English speaker has English language abilities at aboutBenchmark 10.

A person with Benchmark levels 11 and 12 has very advanced languageskills.

IMPORTANT!

While you are improving your English, you may wish to begin the credentialsrecognition process. This process takes a long time. For example, it will take 6months or more for the International Credentials Services (EICS) to verify yourcredentials. You can begin the process of source verification and assemblingnecessary documentation required by licensing and assessment bodies. (SeeSection 4 and Appendix C and D.)

English Language Recommendations

Your English language skills should be Benchmark 8 or higher in all 4 skill areasbefore you begin the process of medical assessments or re-training in allied fields.You need level 8 to successfully complete many of the requirements in the licensingprocess for physicians in Manitoba. You also need level 8 to be successful in relatedcareers and in additional education and training.

If you have Benchmarks levels 6 or 7 you should take ESP (English for SpecificPurposes) training before you begin medical examinations (see Section 5).

If your Benchmark levels are 1 to 5, you should take basic EAL (English as anAdditional Language) training before you begin medical examinations (see Section5).

After the language assessment, the staff at WELARC can give you up-to-dateinformation on free English classes that are available to you. This Resource Guidealso has information on English classes (see Section 5.1).

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Cost: There is no cost for the English language assessment.

Timeline: When you contact WELARC, it may take up to 6 weeks to schedule anappointment. The language assessment takes about 3 hours to complete.

Contact: Winnipeg English Language Assessment and Referral Centre (WELARC)400-275 Portage AvenueWinnipeg, Manitoba R3B 2B3E-mail: [email protected]

Call 943-5387 for an appointment. They can answer questions about how longthe assessment will take, and what documents you should bring with you.

If want to move to Manitoba from another province, English Language assessments

are available in other provinces. There may be a fee for this assessment. Pleasecontact the appropriate government agency responsible for language training in yourprovince.

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1.3 Register with the Credentials Recognition Program

Before you make decisions or take steps toward a medical career in Canada, youshould register with the Credentials Recognition Program (CRP). The CredentialsRecognition Program is a program through the Government of Manitoba, Labour &

Immigration.The Credentials Recognition Program gives financial help to immigrantprofessionals, to help you with the cost of licensing, upgrading courses, books, andother fees that you may need to pay to get your professional license in Manitoba.

As you make decisions and pursue your goals of a medical career in Canada, youwill need to pay fees for assessments and examinations. If you register with theCredentials Recognition Program, you may get some money back.

The Credentials Recognition Program will pay 50% of all eligible costs, up to amaximum of $2250. To get this financial help, you must register with the CredentialsRecognition Program before you pay any fees.

The Credentials Recognition Program also offers assistance (wage subsidies) toemployers who hire immigrant professionals for jobs that match their professionalbackground. The Credentials Recognition Program can give you a letter whichexplains the wage subsidy program. You can use this letter when you apply for jobs,to tell employers about the wage subsidy program.

Cost: There is no cost to register with the Credentials Recognition Program.

Timeline: Once you have contacted the Credentials Recognition Program, it usuallytakes about one month to get an appointment with the program coordinator toregister with the program. Then, after you have paid your fees and sent your

receipts for reimbursement, it usually takes 4 to 6 weeks to receive thereimbursement cheque.

To register, contact: Coordinator, Credentials Recognition Program

Manitoba Labour & Immigration5th Floor, 213 Notre Dame Ave.Winnipeg, MB R3B 1N3

Call 945-7305 for an appointmentE-mail: [email protected]

Website: http://www.immigratemanitoba.com
mailto:[email protected]://www.immigratemanitoba.com/http://www.immigratemanitoba.com/mailto:[email protected]

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Flowchart 1: Overview of Options

ConditionalLicensure:

FamilyPractice,MLPIMG,NRSAP

MCAT

Redoundergraduate

medicaldegree

New Career

Possiblere-training or

Prior LearningAssessment

Job Search

Otherhealthcare or

researchoptions

Post-graduateTraining

(Canada,United States)

Full licensurein Canada

Self-assessment

andpracticalreality

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Section 2: Key Organizations and Stakeholders

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2.0 Key Organizations and Stakeholders in Medical Training,Licensure and Practice in Manitoba

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Section 3: Paths to Licensure

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2.1 General Overview of Licensing Process and Key Organizations

The medical profession is a regulated profession. The Canadian InformationCentre for International Credentials states1:

A "regulated" occupation is one that is controlled by provincial and territorial (andsometimes federal) law and governed by a professional organization orregulatory body. The regulatory body governing the profession/trade has theauthority to set entry requirements and standards of practice, to assessapplicants' qualifications and credentials, to certify, register, or license qualifiedapplicants, and to discipline members of the profession/trade.

In the profession of medicine, the regulatory body, or the licensing authority, isthe College of Physicians and Surgeons of Manitoba (referred to as CPSM orthe College).

Am I an IMG?

The Canadian Information Centre forInternational Medical Graduates defines anIMG as a physician who received a medicaldegree outside of an [accredited] Canadianmedical school, or outside of an [accredited]United States medical school.

How can I work in Canada?

To work as a physician in Canada, you must register with and obtain a medical

licence from the regulatory authority in the province where you want to practice. InManitoba, you can get information on the requirements for a medical licence fromthe College of Physicians and Surgeons of Manitoba. Also, practicing physiciansin Manitoba must be members of the Manitoba Medical Association. As well, theymust have appropriate insurance coverage. The main insurance provider forphysicians practicing in Manitoba is the Canadian Medical Protective Association.

Where do I start?

Many organizations are involved in the licensing process. Each organization has itsown role in postgraduate medical training (residency), medical licensure, and/orother areas, such as immigration. Each organizations role is briefly described in the

next section. The organizations, grouped according to their role in the licensureprocess, are outlined in the following table:

1 Go to the Canadian Information Centre for International Credentials (CICIC) athttp://www.cicic.ca/en/page.aspx?sortcode=2.17.17 for a Guide to Terminology Usage in theField of Credentials Recognition and Mobility. This guide defines terms such as registration,licensure, certification, assessment, etc.

In Canada, the term IMG refers to the

place of medical education:

Canadian citizens or landed immigrantswith a medical degree outside of Canadaor the United States = IMG

Canadian citizens or landed immigrantswho graduated in medicine from Canadianschools = Canadian medical graduate.

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Key Organizations and Stakeholders in the Licensing Process

ACCREDITATION Royal College of Physicians and Surgeons of Canada

(RCPSC)

College of Family Physicians of Canada (CFPC)

DELIVERY University of Manitoba, Faculty Of Medicine

Education

&Training

TRAININGCOORDINATION Canadian Resident Matching Service (CaRMS)

EXAMINING BODY Medical Council Of Canada (MCC)

CERTIFICATION College of Physicians and Surgeons of Manitoba (CPSM)

APPROVED TRAININGLISTINGS

WHO World Directory of Medical Schools

FAIMER International Medical Education Directory(IMED)

Licensure

SOURCEVERIFICATION

Educational Commission for Foreign Medical GraduatesInternational Credentials Services (EICS)

GOVERNMENTDEPARTMENTS

Manitoba Health

Health Canada

Citizenship and Immigration Canada (CIC)

Human Resources and Social Development Canada(HRSDC)

Manitoba Labour and Immigration (LIM)

RECRUITMENT

SERVICES

COORDINATION

Physician Resource Coordination Office (PRCO)

Regional Health Authorities of Manitoba (RHAM)

Practice

OTHER

Manitoba Medical Association (MMA)

Canadian Medical Association (CMA)

Federation of Medical Licensing Authorities of Canada

See Sections 2.2 2.4 for a brief description of each organization.See Appendix A for contact information.

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2.2 Training and Education

Before you can apply for registration and licensure to practice medicine inManitoba, you must successfully complete:

an acceptable undergraduate Medical Doctor (MD) degree; a postgraduate medical training program (which must be affiliated with an

approved faculty of medicine); and

required assessments and examinations.

The University of Manitoba, Faculty of Medicine (accredited by the RCPSC andCFPC) provides undergraduate and postgraduate medical training and continuingmedical education in Manitoba.

The Royal College of Physicians and Surgeons of Canada (RCPSC)and theCollege of Family Physicians of Canada (CFPC) accredit residency programs atCanadian universities. Residency can take 2 to 6 years.

Note about US training: According to the College of Physicians and Surgeonsof Manitoba, an "approved university teaching program" also includes a programwith a major university affiliation listed in the American Medical AssociationDirectory of Graduate Medical Education Programs or in the Directory of theCouncil of Teaching Hospitals. If you were trained in the United States, youshould contact RCSPC and CFPC to make sure your US training isacceptable. You may need additional training.

The Canadian Resident Matching Service (CaRMS) matches recent medicalgraduates with residency programs. It does not provide education. There are 2possible matches or iterations. In Manitoba, eligible IMGs may compete withCanadian graduates in the first iteration. The second iteration is for positions andapplicants who were not matched in the first iteration. The second iteration alsoincludes applicants who have already had North American postgraduate training andwant to apply for a residency position in Canada.

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2.3 Licensure

In Manitoba, the College of Physicians and Surgeons of Manitoba licensesphysicians to practice medicine in Manitoba.

The Medical Council of Canada (MCC) is an examining body only. It does notlicense physicians to practice medicine. You must complete the 3 MCCexaminations to receive the Licentiate of the Medical Council of Canada (LMCC).When you receive the LMCC, you may enrol in the Canadian Medical Register.This shows you have met the MCC standards.

The provincial and territorial medical regulatory authorities in Canada control medicallicensure. The College of Physicians and Surgeons of Manitoba (the College)sets registration and licensure requirements to make sure that all physicians andclinical assistants are competent to practice medicine in Manitoba.

You must meet the academic and clinical requirements of the College to apply forregistration and licensure as a physician:

The Licentiate of the Medical Council of Canada (granted aftersuccessfully completing all the MCC exams);

Postgraduate medical training in an approved faculty of medicine;

Specialist certificate from the Royal College of Physicians and Surgeonsof Canada, for practice in a specialty (obtained by examination);

Certification by the College of Family Physicians of Canada, for practice inFamily Medicine (obtained by examination);

Submission of copies of the following documents to the EducationalCommission for Foreign Medical Graduates (ECFMG) InternationalCredentials Services (EICS) for verification:

9 Medical school diploma9 Medical school transcript9 Medical licensure/registration certificates from other jurisdictions9 Postgraduate training certificates

If you meet all of the requirements of the College, you may apply to be registeredwith the College and issued a license to practice medicine in Manitoba.

Please note: Conditional Registration can be a step to achieve full Registration(see Section 3).

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2.4 Practice and Other

Manitoba Health oversees the health care system in Manitoba. Manitoba is dividedinto 11 Regional Health Authorities (RHAs). These deliver health care services tomeet the needs of the local residents. The coordinating organization is RegionalHealth Authorities of Manitoba (RHAM).

The Physician Resource Coordination Office (PRCO)works with the Province ofManitoba and the Regional Health Authorities to support the employers andphysicians through the recruitment, immigration, and licensure process. This officewas established in 2005.

The provincial departments of Health and Advanced Education and Literacy payfor the Faculty of Medicine, University of Manitoba to provide physician educationand training.

Citizenship and Immigration Canada (CIC) may be your first contact with theimmigration process. Human Resources and Social Development Canada(HRSDC) offers programs to help IMGs. These two federal government departmentswork with Manitoba Health to grant work permits (employment authorizations) tointernationally-trained doctors. However, these permits are only granted when:

there are no qualified doctors in Canada to fill a particular vacancy, and nodoctors who could be trained to become qualified;

an employer (e.g. health authority or medical clinic) requests a specific IMGto work in their medical facility; and

the physician is eligible for Conditional Registration with the College ofPhysicians and Surgeons of Manitoba (see Section 3).

HRSDC gets proof of a physicians licensure through:

a Labour Market Opinion (LMO) application form. The employer completesthis form and sends it to Manitoba Health. An LMO is completed before aforeign worker application is processed (see below).

a letter of approval or support from Manitoba Health to HRSDC.

After receiving these documents, HRSDC sends a positive LMO Confirmation letterdirectly to the employer. The physician receives a copy of this letter. After that, thephysician applies directly to CIC for a Work Permit (Foreign Worker Application).

As soon as CPSM determines eligibility and the Minister approves registration, theletter of approval is sent to HRSDC. The rest of the process takes about 1 to 2weeks from the date Manitoba Health sends the information to HRSDC. Thisprocess is as follows:

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Manitoba Health:Letter of Approval

CPSM:Conditional Registration Approved

Employer:Application for

LMO

HRSDC:Positive LMOconfirmation

letter

Physicianapplies to CIC

for WorkPermit

Employmentas Foreign

Worker

IMG

See section 3.3 for details on theNew Assessment Process for Conditional Registration

Manitoba Labour and Immigration (Immigration and Multiculturalism Division)offers basic settlement services for immigrants to Manitoba, including languageassessments and training (see Section 1.0). The Credentials RecognitionProgram helpsinternationally trained professionals who meet the program criteria.They may be eligible for wage assistance, paid to their employer. They may also beable to receive money to pay for some of the costs of assessment fees, course

tuition, and materials for courses and examination preparation.

The Federation of Medical Licensing Authorities of Canada is the Canadianassociation of provincial and territorial medical licensing authorities. It is the nationalstructure in which Canadian medical regulatory authorities present and pursuematters of common concern and interest, and share, consider and develop positionson regulatory matters.

The Canadian Medical Association (CMA) and its local branch, the ManitobaMedical Association (MMA), represent the larger medical community. Theyrepresent licensed physicians at federal and provincial levels. You must be amember of MMA to practice medicine in Manitoba. The CMA is a voluntary

organization. You must be a member of the MMA to join the CMA.

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3.0 Paths to Licensure: Assessment and TrainingOpportunities for International Medical Graduates inManitoba

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Pass MCCEE

Obtain Job Offer

Approach PRCO

Apply for Registration:CPSM

CPSM Validation andMinisters Certificate

Referral toAssessment Process

MLPIMG

Entry into FamilyPractice: Assessment

Post-graduateTraining (CaRMS)

Assessment and up toone year of enhanced

training

Referred for gap training(Family Practice)

May pursue post-graduate training oralternative career

If successful,conditionalregistration

granted

Achieve LMCC &RCPSC Board Exams

or CCFP

Full Registration withCollege

Obtain Job Offer,Ministers Certificate

NRSAP:Assessment

Preliminar Ste s

Procedural Steps

Routes to Licensure

Assessment Details

Outcomes

Flowchart 2: Assessment and Training Opportunities

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3.1 Preliminary Steps towards Registration

An International Medical Graduate (IMG) is someone who has graduated frommedical school outside of Canada or the United States.

To work in Canada, physicians must be approved for registration and obtain amedical licence from the regulatory authority in the province where they practise.

Preliminary Steps:

There are several paths to registration for an IMG. A brief overview of the differentpaths is outlined below. (See Section 3.3 for more details.)

Full Registration: (see Section 2.3)

(3.3) Conditional Registration:

3.3-1 Entry into Family Practice (rural Manitoba)

3.3-2 Non-Registered Specialist Assessment Program (NRSAP)

3.3-3 Medical Licensure Program for International Medical Graduates(MLPIMG)

3.3-4 Registered Clinical Assistant (Non-Certified) (RCA)

(3.4) Postgraduate Residency Training (CaRMS)

(3.5) Undergraduate Medical Degree

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3.2 Begin the Registration Process

After you complete your language assessment and consider your personal situation,such as time out of practice, you may decide to proceed with the licensure process.Regardless of which path you choose to become licensed, you must fulfil the

following requirements:1. Write the Medical Council of Canada Evaluating Exam (MCCEE). For

more information about applying for the MCC exams, see section 4.0.

2. Contact the Physicians Resource Coordination Office (PRCO)andregister on-line at the PRCO web-site at www.healthemployment.ca

3. Contact the College of Physicians and Surgeons of Manitoba (CPSM) toassess eligibility for Registration. You must have approval for registrationand a Ministers Certificate before you can obtain a license to practice .

Time out of practice begins from the date of the initial application. You shouldcontact the College as soon as possible, even if your documents are not

completely assembled. Your application may be renewed which does notaffect the original date of application. This is important if you are consideringthe Conditional Registration option, as you must have practiced 3 out of thelast 5 years.

Note: If the application takes a long time and the physician has been out ofpractice more than 3 years by the time of the assessment, the University isusually informed of this fact.

Apply for most suitable path to licensure option as outlined in the next section.
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3.3 Paths to Licensure

Conditional Registration

The following is a summary of the requirements for

Conditional Registration, as outlined on the CPSMwebsite. For full details, visit:

www.cpsm.mb.ca/core_functions/registration/categories/conditional

APPLICANTS FOR CONDITIONALREGISTRATION MUST:

(a) Be a graduate from an approved Faculty of Medicine,

(b) Have satisfactorily completed an assessment processacceptable tothe College (see Sections 3.31 3.33 in this guide for assessmentopportunities),

(c) Hold an unexpired pass standing in the Medical Council of CanadaEvaluating Examination, or Part I or Part II, or both (LMCC) of theMedical Council of Canada Qualifying Examination,

(d) Have satisfactorily completed one of the following postgraduate clinicaltraining requirements:

(i) 2 years postgraduate clinical training acceptable to the College,

(ii) one year postgraduate clinical training acceptable to the College,and have practiced for at least 3 out of the past 5 years andcomplete an orientation program acceptable to the College (seesections 3.31-3.33),

(iii) specialty field: same length of training that is required by the RoyalCollege of Physicians & Surgeons of Canada, which would entitlethe physician to obtain a licence limited to the specialty trainingfield,

(iv) 2 years of postgraduate clinical training acceptable to the College,plus a postgraduate training program acceptable to the Collegewhich would entitle the physician to obtain a licence limited to thespecialty training field,

(e) Minister of Manitoba Health issues Certificate

NOTE: go to the College website (CPSM Appendix in Requirements for ConditionalRegistration) to see if your post-graduate training meets College requirements.

Important Reminder!

The following informationmay change.

The terms of theLegislation governing therequirements forregistration prevail.
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In addition to meeting the other requirements, you must provide a:

(a) Certificate of standing of recent date from any and all jurisdictions inwhich you have been registered or licensed.

(b) Medical Identification Number for Canada (MINC) number. MINC#NIMC

will assign a number to you before registration, if you do not have one.See: http://www.minc-nimc.ca/WhatIsMINC.htm for more information.(MINC numbers will be issued to all individuals at the time of first (eventemporary) entry to any aspect of the Canadian medical education orpractice systems, including undergraduate students, postgraduatetrainees, applicants to MCC examinations, and physicians of anyregistration status.)

(c) Criminal record check satisfactory to the College. Make sure the checkcontains a Vulnerable Sector Search. You may obtain this at a localRCMP detachment or your local law enforcement agency.

(d) Educational Commission for Foreign Medical Graduates (ECFMG)

International Credentials Service (EICS) verification.

DOCUMENTS AND FEES REQUIRED:

1. Completed application form.

2. Graduation diploma (with translation in English, if applicable).

3. Documentation of all approved training experiences and medicalqualifications listed in the application.

4. Proof of identity (e.g. birth certificate, passport/visa, work permit, landed

status, Canadian citizenship.)5. You must send a non-refundable documentation fee of CAN $275 (subject to

change) with your application. After you have obtained a position in Manitoba,and before your registration is issued, you must appear for a personalinterview. You must submit registration and licence fees, a recent passport-type photograph and proof of identity before you begin practice.

Note: All documents must be originals or original notarized copies, and mustbe sent with the application. It is your responsibility to make sure yourdocuments are complete.

IMPORTANT!

Make sure you inform the College of all the variations of your name.Your file may remain incomplete if your documents

are submitted under more than one name!
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FOR YOUR INFORMATION

Point 1:

Physicians do not need an offer of employment to submit an application forconditional registration to the College.

Point 2:

The selection criteria, length of time, and funding sources for the differentassessments are different in each program. However, before you canbegin to work as a physician, you must have the following:

approval by the CPSM for eligibility for Conditional Registration

a job offer

a Ministers Certificateand be successful in the 3-month assessmentprocess

Point 3

You can get a job offer by:

Recruitment from an RHA or a hiring institution

Contacting prospective employers directly from the Health

Employment website at www.healthemployment.ca .

Having your name on the Opportunities List. Approved physicianswill be added to this list as being eligible for a job offer if they aresuccessful in the pre-screening interview. This list is distributed toregions and employers on the Health Employment website.
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3.3-1 Assessment for Entry into Family Practice (rural and northernManitoba)

As of November 2006, Manitoba established a new assessment process for entry

into Family Practice. The applicant must meet the requirements for ConditionalRegistration (see section 3.3).

Please note that this information may change, without notice.Be in contact with the PRCO to make sure you have up-to-date information.

Access to program:

You must have a valid pass standing in the MCCEE.

You may enter through one of the following 3portals:

Prospective employer (RHA or private),

Referral to PRCO, or

Formal application to CPSM.

The PRCO recommends the following procedure:

1) Send a Curriculum Vitae (CV) to the PRCO for a cursory review ofcredentials by registering on the PRCO website athttp://www.healthemployment.ca/.

2) You must then successfully complete the following:

a. A formal application with the CPSM. You should do this as early aspossible in the process. You must be successful in the previous stepsbefore referral for the Ministers Certificate.

b. A pre-screening interview to determine your suitability for rural or northernpractice as a primary care provider. The PRCO will arrange this.

c. Obtain a job offer if you dont already have one. See page 33, Point 3.

A well planned CV isimperative to reflectyour skills andexperience. For CV orresume guidance, seeAppendix D.

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If you are successful in the interview, have met the requirements forconditional registration, have a job offer, and a Ministers Certificate hasbeen issued to you (see point 3, page 31), you will be referred to the followingassessment process:

An Orientation to health care in Manitoba and other information youshould know before seeing patients (2.5 days);

Family Practice Assessment (FPA), including multiple choice questions,short-answer therapeutics assessment, a structured oral interview, andsimulated patient encounters (3 days);

Clinical Field Assessment (CFA), including both clinical and acute carecomponents (3 months).

The University of Manitoba will contact you directly regarding a mutually agreeabledate and location of your assessment. The region/employer will be notified. You willbe prioritized for an assessment based upon principles agreed to by the regions and

will be scheduled for the process on that basis.

After the assessment process, you will be provided with a mentor in the region ofyour job offer. The mentor is not involved as an assessor in any way, but will supportand provide guidance to you after the assessment.

Potential Outcomes

Conditional Registration granted to practice in designated location.

Gap training may be required before granted conditional registration.

Recommendation of full residency, or alternate career.

Additional Information

Numbers: The Manitoba government will fund up to 40 assessments per year forIMGs in rural and northern Manitoba.

Costs: The RHA and/or the hiring institution and Manitoba Health cover the costs ofassessment. You are responsible for any travel costs pertaining to the pre-screening interview, as well as costs of accommodations, meals, travel and othercosts during the period of assessment

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3.3-2 Non-Registered Specialist Assessment Program (NRSAP)

The following is a summary of the NRSAP information package.For more details, visit:

http://www.cpsm.mb.ca/core_functions/registration/categories/conditional/NRSAPInformationPackage.

The goals of the NRSAP are to:

Organize and facilitate clinical assessments of physicians whose registration willbe limited to a specialty field of training.

Ensure candidates meet CPSM requirements for Registration.

Standardize these assessments for each specialty and make sure they arecarried out in a fair and unbiased manner.

Like the Assessment for Entry into Family Practice, the NRSAP is an assessmentprogram. After finishing the program, many candidates say it helped them to seehow things are done here and how the system works.

Access to program:

You must meet the requirements for Conditional Registration (see section 3.3).

You must obtain a job offer (see page 33, Point 3).

The RHA or similar bodies will contact the NRSAP coordinator when they areassured of your credentials and licensability. The NRSAP coordinator will set up

an assessment period appropriate for the specific specialty.

Some very small programs may not be able to do NRSAP assessments. TheFaculty of Medicine may be unable to provide or to facilitate an assessment servicefor some specialties. Some departments, depending on resources, may be able tocarry out assessments some years and not others.

Assessment period:

A minimum 3-month (13-week) period of assessment to a maximum of 12months.

The assessment period is standardized within each specialty but may vary inlength between specialties. This is determined by the individual department.

Most departments require a 3 to 6-month period.
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Evaluation forms and final report

The format of the evaluation forms and final report are different in variousdepartments and programs. However, within each program, the format isstandardized. The format includes evaluations by nursing and relevant allied healthprofessionals.

It includes evaluation of clinical knowledge, skills, and attitudes, as well asevaluation of the multiple roles of a specialist consistent with the Royal College ofPhysicians and Surgeons of Canada (RCPSC) CanMeds 2000 model.

You can find more information about CanMeds on the Royal College website atwww.rcpsc.medical.org. The 7 CanMeds roles are: medical expert,communicator, collaborator, scholar, health advocate, manager, andprofessional.

Costs: The Regional Health Authority or the institution that wants to hire you coverthe costs of the assessment. Costs include program costs, your salary, and yourCMPA fees. You must find a place to stay while you are in Winnipeg or anotherlocation of assessment. You should discuss this with the organization that is hiringyou. The NRSAP does not make housing arrangements.

Your salary and benefits during the assessment period will be negotiated betweenyou and the hiring RHA or institution. However, your salary during the assessmentperiod cannot be less than that of a PGY-5 resident (a postgraduate trainee in the5th year of training) based on the current WRHA-PARIM agreement.

For more information, contact the NRSAP coordinator at [email protected]
mailto:[email protected]:[email protected]

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3.3-3 Medical Licensure Program for International Medical Graduates(MLPIMG)

The following is a summary of the MLPIMG information package.

This information may change. For more details, visit:

MLPIMG homepage

Application Information Package and Important Dates:

http://www.gov.mb.ca/health/mlpimg/index.html

The Medical Licensure Program for International Medical Graduates (MLPIMG)assists internationally trained physicians to obtain licensure so they can practise asprimary care physicians in Manitoba. The Faculty of Medicine, University ofManitoba, offers this program. It is supported by The University of Manitoba, the

CPSM, and Manitoba Health.

Access to Program:

Candidates applying for the assessment must meet all of the following criteria:

Be a Canadian Citizen or Permanent Resident

Be a resident of Manitoba for at least 6 consecutive months before the CAPEassessment date

As of 2008, be out of practice no longer than 5 years before the applicationdeadline

Have a minimum of one year of postgraduate medical training acceptable to theCPSM

Have practiced mostly in general practice (primary care, family medicine)

Have a valid pass standing on the MCCEE.Preferred consideration may begiven to candidates who have also completed MCCQE Part I and/or MCCQEPart II.

IMPORTANT: Candidates are ranked according to the number of exams completedand the scores received.
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When you meet all the selection criteria and are selected for the program, you will bereferred to the following assessment and training process:

1. Preparation and Pre-assessment

An orientation to the CAPE assessment, including simulated patient encounters(3 days)

2. Assessment and Enhanced Training

Clinicians Assessment and Professional Enhancement (CAPE), includingmultiple choice questions, short-answer therapeutics assessment, a structuredoral interview, and simulated patient encounters (3 days)

If necessary, candidates are given up to one year of Enhanced Training.

3. Licensure

Potential Outcomes:

When you have completed the assessment and training, and have met all other

requirements for conditional registration, you may apply to the CPSM for ConditionalRegistration. You will have up to 5 years to complete the MCC exams and 7 yearsto obtain the Certificate of the College of Family Physicians of Canada (CCFP).During that period, you will practise in rural Manitoba (an underserviced area of theprovince, as declared by the Minister of Health, Manitoba).

Additional Information:

Numbers: The Manitoba Government is currently funding up to 15 positionsannually. (This number has increased from 10 funded positions in previous years).

Cost: Manitoba Health covers the cost of the CAPE evaluation and enhancedtraining. The employer covers the candidates salary during the training period.

Important Dates: Check the MLPIMG websitehttp://www.gov.mb.ca/health/mlpimg/index.htmlfor exact dates.

The program is offered annually.The following dates are typical of previous years, and are a guideline only:

March 30 IMG application deadline

Mid May IMGs are advised of acceptance for CAPE

Mid June CAPE Preparation Course

Late September CAPE assessmentMid October CAPE results sent to IMG Program Director

November IMGs are advised of CAPE results and next steps

January Eligible IMGs begin enhanced training. (Medical practice begins uponsatisfactory completion of enhanced training.)
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3.3-4 Registered Clinical Assistant (NON-CERTIFIED)

A position as clinical assistant is a closely related option to medical licensure.

Applicants for the Clinical Assistant Register (Non-Certified) Part 2 must: Have a degree in medicine from a faculty of medicine acceptable to the

Council; or

Be licensed or registered to provide health care under an Act of the ManitobaLegislature; or

Be certified as an Emergency Medical Attendant - Level III; and

Have satisfactorily completed an assessment, under an assessment processapproved by the council, of their experience and competence.

See the CPSM website for details of the application process:http://www.cpsm.mb.ca/core_functions/registration/categories/ClinAsst2NC
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Postgraduate Residency Training (CaRMS)

The Canadian Residency Matching Service (CaRMS) is the national organizationthat matches medical students with available positions in residency trainingprograms.

CaRMS runs two matches to place medical students. These matches are callediterations. The first iteration includes all graduating students and graduates fromCanada, the US, and abroad who meet the CaRMS criteria. The second iteration isopen to any unmatched candidates from the first iteration. It also includes applicantswith previous North American postgraduate training who wish to apply for a PGY1position in Canada.

IMPORTANT NOTE: As of 2007, IMGs apply to the same positions as Canadiangraduates in all disciplines. The first iteration of the 2007 Match will be open forInternational Medical Graduates who meet national eligibility. There are two kinds ofpositions in Canada, parallel or competitive. In a parallelstream, IMGs apply to a

separate stream of positions than Canadian graduates in one or more disciplines. InManitoba, there is a competitivestream in which IMGs compete for the samepositions as Canadian graduates in all disciplines. As such, there is no Return ofService requirement.

In Manitoba, these are the basic requirements for participation in the CaRMS match:

1) Canadian residency status

2) Have a pass mark on MCCEE or be registered for the upcoming MCCEEexam. (The results must be available by the Rank Order List deadline.) Also,you must provide CaRMS with the MCC candidate code.

3) English language proficiency based on TOEFL score of 250 computer-based,or 600 written. (Contact your program of interest for specific languagerequirements.)

4) Graduation from a medical school listed on the FAIMER web page atwww.faimer.org

Individual programs list criteria and preferences for applicants in their programdescriptions.

Apply for CaRMS on-line by filling out the Request for Registration. You must pay

a $75 verification fee (plus applicable taxes) before you begin the application.If you have already participated in a previous CaRMS match, starting from the 2003-2004 Match, CaRMS can bring your file forward. The verification fee will be creditedto your account.

For more information about CaRMS and participating medical schools, go towww.carms.ca.
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Undergraduate Medical Degree

The University of Manitoba offers a 4-year after degree program (Doctor ofMedicine). For admission requirements, go to:

http://www.umanitoba.ca/student/admissions/requirements/manitoba/

Or contact:

Faculty of Medicine

Bannatyne CampusRoom 260 - 2nd Floor Brodie Centre

727 McDermot AvenueWinnipeg, MB

R3E 3P5Telephone: (204) 789-3557

Email: [email protected]
http://www.umanitoba.ca/student/admissions/requirements/manitoba/http://umanitoba.ca/faculties/medicine/mailto:[email protected]:[email protected]://umanitoba.ca/faculties/medicine/http://www.umanitoba.ca/student/admissions/requirements/manitoba/

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Section 4: Medical Council of Canada Examinations

Page 33

4.0 Medical Council of Canada Examinations and StudyResources

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4.1 Medical Council of Canada Examinations

This section is a summary of the exam requirements and application process fromthe MCC website. The information may change. You must read the MCCexamination information pamphlets to get all the details.

The exam process has many details to consider. Your circumstances willdetermine which information is relevant. Please read the informationpamphlets for full details about the MCC exams. (Contact the MCC office orMCC website: www.mcc.ca.)

You can write the exams in French or English.

The MCC has no citizenship or language test requirement for admission to theexamination or registration in the Canadian Medical Register.

If you have special needs you must submit a special request in order to beaccommodated. These needs include a permanent or temporary disability or otherspecial need.

Some details to consider:

For all the examinations, your application must be complete. It is yourresponsibility to make sure your application is complete before you submit it.

Your application and payment can take up to 6 weeks to process.

A current application form must be submitted in black ink.

Applications are accepted on a first come, first served availability basis. Spacesmay not be available at all centers and may be limited at other centres. You can

note if you would accept assignment to a different centre than the one you chose.

Application Data

This checklist is a general guide. (See informationpamphlets for specific details.)

1) Current Application Form

2) Current Declaration Form

3) Current Registration & Payment Form

4) Diploma

5) Translation and certification of documents

6) Photographs

7) Fees in Canadian dollars (certified cheque, bankdraft, money order, Visa or Mastercard)

8) Source Verification (see below)

There is a $30.00administration fee forincomplete applications.You will be assigned to acentre after yourapplication is complete.Carefully review thechecklist in the MCCpamphlet.

Make sure your legal

name is the same on allyour documents. If not,you will need to includedocuments that provethe name change.
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4.2 MCCEE (Evaluating Examination)

MCCEE (Evaluating Exam) is a test of general medical knowledge. It is a full-day,

paper-based exam, consisting of 300 multiple-choice questions.

This exam is for graduates and students of international medical schools. The WorldHealth Organization (WHO) and the International Medical Education Directory(IMED) publish the lists of acceptable schools each year.

Recent Policy Change: Effective November 2005, there is no expiry datefor a pass standing on the MCCEE.

You must pass the MCCEE to take the Qualifying Examinations.

General Information about the MCCEE

1) Application deadlines are usually 4 months before the exams.

2) It is offered 3 times each year, (usually in January, May, and November) inCanada and overseas.

3) In Canada, it is offered in Vancouver, Saskatoon, Toronto, Montreal, andHalifax. For Manitoba residents, Saskatoon is the closest exam centre.

4) Applicants must pay their examination fees, and their own travel,accommodation and meal expenses. The Credentials Recognition Programmay reimburse some of these fees. However, you must register with theCreditials Recognition program before you pay these fees.

5) See information pamphlet for detailed and current application documentationinformation

6) Costs:Credentialing fee: 200.00 CAN (non-refundable)Examination Fee: + 850.00 CANTotal: 1,050.00

To take the MCC examinations, you must be a graduate from a medical school onthe WHO World Directory of Medical Schools or FAIMER InternationalMedical Education Directory (IMED) lists. The IMED lists medical schools thatare recognized by the appropriate agencies in their respective countries.

The MCC uses the Educational Commission for Foreign Medical GraduatesInternational Credentials Services (EICS) to do source verification of IMGcredentials. Source verification must be completed for issuance of the LMCC.Soon, all Canadian licensing authorities will require any graduate other thansomeone from the USA and Canada to use EICS or a similarly recognizedservice.

The credentialing fee is forfirst-time MCCEE applicantsand previous MCCEEapplicants whose file hasbeen inactive or incompletefor 5 years or more.

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7) Exemption from the MCCEE: You may not have to take the MCCEE if you havean acceptable medical degree and are a specialist certified by a member boardof the American Board of Medical Specialties (ABMS) and/or by the RoyalCollege of Physicians and Surgeons of Canada (RCPSC) or the College ofFamily Physicians of Canada (CFPC). In this case you may be able to apply

directly to the MCCQE Part I. (This possibility for exemption came into effect in2005.)

8) Seewww.mcc.ca for more information, current deadlines and applicationinformation.

Note: You can try to pass the MCCEE as many times as you want. However, ifyou fail 2 or more times, you should examine your study habits. According tostatistics, it becomes more and more difficult to pass with each new attempt.

MCCEE Study Resources

The Self Administered Evaluating Examination (SAEE) is a practice examination. Ithas multiple-choice questions and it will help you to see if you are prepared for theMCCEE.

The SAEE does not cover all of the material in the MCCEE. Also, it does not replacethe MCCEE. It contains samples of the type and style of multiple-choice questionsthat are in the MCCEE. It is only a study aid to help you prepare for the MCCEE.
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4.3 MCCQE Part I (Qualifying Examination, Part I)

The MCCQE Part I tests data gathering, clinical reasoning, and principles ofmanagement skills. It is a one-day, computer-based test. It consists of multiple-choice, short-menu, and short-answer questions.

Everyone with a medical degree must write the MCCQE Part I. It assessescompetence for entry into a postgraduate training program.

To be eligible for the MCCQE Part I,you must: Be a graduate from a medical school

listed in the WHO World Directory ofMedical Schools or IMED.

Hold a pass standing on the MCCEE orhave been granted exemption based on

your American or Canadian BoardCertification.

Have source verification of themedical diploma in progress orcompleted. (This rule came into effect in2006.)

General Information

1) Application deadlines are usually 4 months before the exams. Exams are

usually offered 2 times each year (in the spring and fall).2) The MCCQE Part I is offered in Canada only. You can write it in French and

English in centres across Canada. In Winnipeg, you can write in English only.

3) See the information pamphlet for detailed and current information aboutapplication documentation.

4) Costs:

Credentialing fee: $100.00 CAN(for candidates who passed the MCCEE before 2004)

Base examination fee: $ 680.00 CAN

Late applications: $1,020.00 CAN

Note: If you do not pass the MCCQE Part I, you may apply for the next examwithout penalty. (This is because the exam results are not available before theapplication deadline of the following exam.) You may prepare your MCCQE Part Iapplication, but you must wait for the results of your previous MCC examinationbefore submitting your application and the appropriate payment. See the MCCQEPart I information pamphlet for specific details.

Both the MCCEE and the MCCQEPart I test basic medical knowledgeand use multiple-choice questions.

Some differences are:

The MCCQE Part I includesCanadian content, such as

Canadian legal issues in thepractice of medicine.

The MCCQE Part I includes ahalf-day section on clinicalreasoning and decision making.

The MCCQE Part I is onlyadministered in Canada.

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MCC Study Resources

The MCC offers an on-line demonstration of the multiple-choice questions andclinical reasoning skills components of the examination on its website:www.mcc.ca/english/examinations/qualifying_e1_practice.html

The Objectives for the Qualifying Examination (3rd Edition) are available:

On-line: http://www.mcc.ca/Objectives_online/

Print version:http://www.mcc.ca/pdf/Complete_Objectives-e.pdf

The Considerations of the Legal, Ethical, and Organizations Aspects of the Practiceof Medicine(CLEO) is incorporated in the 3rd edition of the Examination Objectives.

C2LEO is a revised version of CLEO: Considerations of the Cultural-Communication, Legal, Ethical and Organizational Aspects of the Practice of

Medicine. The content of C2LEO will be incorporated in MCC exams as of 2008.
http://www.mcc.ca/english/examinations/qualifying_e1_practice.htmlhttp://www.mcc.ca/Objectives_online/http://www.mcc.ca/pdf/Complete_Objectives-e.pdfhttp://www.mcc.ca/pdf/Complete_Objectives-e.pdfhttp://www.mcc.ca/Objectives_online/http://www.mcc.ca/english/examinations/qualifying_e1_practice.html

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4.4 MCCQE Part II (Qualifying Examination, Part II)

The MCC Qualifying Examination (MCCQE Part II) is an Objective-StructuredClinical Examination (OSCE) that tests the competence of candidates. This includesthe knowledge, skills and attitudes essential for medical licensure in Canada. Thisexamination follows a minimum period of 12 months supervised postgraduate clinicalmedical training or postgraduate osteopathic clinical training (effective 2005).

The exam is approximately 3 hours. It includes problems in Medicine, Pediatrics,Obstetrics and Gynecology, Preventive Medicine and Community Heath, Psychiatryand Surgery. It also covers information about allied disciplines considered essentialfor competence in general medicine and health care. (See MCC Objectives forQualifying Examination at www.mcc.ca)

To take the MCCQE II, you must:

Be a graduate from a medical school listed in the WHO World Directory ofMedical Schools or the IMED.

Hold a pass standing on the MCCEE or be exempted based on your American orCanadian Board Certification.

Have successfully completed the MCCQE Part I. (Conditional applications for theMCCQE II are not accepted.)

Prove that you have satisfactorily completed at least 12 months postgraduateclinical medical training or postgraduate osteopathic clinical training. (See MCCinformation pamphlet.)

Note: rotating internships before a medical diploma is granted (instead of

postgraduate training) mayqualify for the MCCQE II. In this case,candidates must submit a full transcript in the original language, as well as atranslation, if required.

Complete source verification process of diploma.

General Information

1) Application deadlines are usually 4 months before the exams. Exams areoffered 2 times a year (in the spring and the fall).

2) The MCCQE Part II is offered in Canada only. It isoffered in French and English in centres acrossCanada.

3) See information pamphlet for detailed and currentinformation on application documentation.

4) Costs:

Base examination fee: $1,450.00 CANLate applications: $2,175.00 CAN

Application deadlines areextended only for:

Unsuccessful candidates

from the previouslyscheduled MCCQE Part IIexam, and;

Successful candidates fromthe most recent MCCQEPart I (plus $100administration fee
http://www.mcc.ca/http://www.mcc.ca/

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4.5 Study Resources

There are study resources noted in Sections 4.2 and 4.3 of this guide.

The MCC website also has a list of reference books to help you prepare forthe MCC exams.

Go to: http://www.mcc.ca/pdf/ListofSuggestedReferenceBooks_e.pdf

Interaction Rating Scales: Make sure you review this resource to understandhow the MCCQE II measures beyond your medical knowledge.

Go to: http://www.mcc.ca/pdf/RatingScaleQEII_e.pdf

The following are not MCC resources, but they can be useful study tools.(See the Frequently Asked Questions section of the MCC website for adiscussion of the limitations of these resources.)

- MCCQE Review Notes (Toronto Notes)

- USMLE 2 and 3

CANMEDS (a model for physician competence):http://rcpsc.medical.org/canmeds/index.php

Recommended reading on Ethics (a selected list):

Hebert, PC. Doing Right: A Practical Guide to Ethics for Medical Trainees andPhysicians. Toronto: Oxford University Press, 1996. This text is short,case-based and Canadian in focus. It is available at the University ofManitoba bookstore.

Buckman R. How to Break Bad News: A Guide for Health Care Professionals.Toronto: University of Toronto Press, 1993. This is a very useful text that willhelp you improve your communications skills.

Canadian Medical Association. 1996 Code of Ethics. Available at

http://www.cma.ca.

"Bioethics for Clinicians"series. This is a series of articles on medical ethicspublished in the CMAJ1996-98. It is available on the CMA website.

Professional Ethics theme website: http://dante.med.utoronto.ca/ethics
http://www.mcc.ca/pdf/ListofSuggestedReferenceBooks_e.pdfhttp://www.mcc.ca/pdf/RatingScaleQEII_e.pdfhttp://rcpsc.medical.org/canmeds/index.phphttp://www.cma.ca/http://dante.med.utoronto.ca/ethicshttp://dante.med.utoronto.ca/ethicshttp://www.cma.ca/http://rcpsc.medical.org/canmeds/index.phphttp://www.mcc.ca/pdf/RatingScaleQEII_e.pdfhttp://www.mcc.ca/pdf/ListofSuggestedReferenceBooks_e.pdf

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Section 5: Support Services and Resources

Page 41

5.0 Support Services and Resources

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5.1 Improving English Language Skills

No matter what decision you make about your professional future in Canada and thepath you choose toward your career goals, you may need to improve your Englishlanguage skills to be successful at courses, medical assessments, or jobcompetitions. Employers of IMGs say that the most important factor that determinesemployment is the ability to communicate in English. The employers say thatEnglish language skills are the most important skill area for immigrant professionalsto address.

There are different types of English as an Additional Language (EAL) classes thatyou can choose from. You can study English as a full-time activity. Or, you can studypart-time while you are working on other steps in your career plan. Some classeslast several weeks and some last several months.

1. First you should assess your current English language skills. A free English

language assessment is available to you at the Winnipeg English LanguageAssessment and Referral Centre (WELARC). The details on this assessmentcan be found in section 1.1.

2. When you have completed the language assessment, the assessors at WELARCcan refer you to appropriate English classes. These classes include both BasicEnglish as an Additional Language (Basic EAL) as well as Advanced English asan Additional Language (Advanced EAL). Advanced EAL is also sometimescalled English for Specific Purposes (ESP) or Enhanced Language Training(ELT).

The list on the next page includes some of Basic EAL and Advanced EAL, ESP,and ELT options in Winnipeg. These programs are free for immigrants. The

details may change over time. If you are using these services for the first time,you should contact WELARC for an appropriate referral.

In addition to these free programs, there are a number of organizations andeducational institutions in Winnipeg that offer courses for a fee. These are notincluded in this document.

Cost: EAL programs funded by the Province of Manitoba, Department of Labour &Immigration are free.

Timeline: The times and lengths of programs vary. Some information is includedbelow. Contact WELARC or the service provider for up-to-date information.

Contact Information:Winnipeg English Language Assessment and Referral Centre (WELARC)

400-275 Portage AvenueWinnipeg, Manitoba R3B 2B3

E-mail: [email protected]: 943-5387
mailto:[email protected]:[email protected]

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Summary of free EAL options for adult immigrants

The Government of Manitoba has developed many different types of EAL classesand programs to suit many different peoples needs. Here is a list of some of these.You can find a more complete list at

http://www.gov.mb.ca/labour/immigrate/eal/learners/programswpg.html. This websitewill also give you links to some of the EAL programs listed below.

Basic and Intermediate EAL: The Winnipeg School Division offers part-time classes in the mornings,

afternoons and evenings at several different locations. Some of these classesfocus on helping people to find work.

Depending on where you live or work, there are other part-time classesaround Winnipeg and also in some locations outside of Winnipeg.

There are part-time classes for mothers with pre-school aged children in the

Community-Based Language Programs. These programs offer childcarewhile the mothers are in class.

Red River College and the Winnipeg Technical College offer full-timeclasses.

Advanced EAL: Red River College offers advanced EAL classes, including English for

specific purposes. These include EAL classes for business, professional andacademic purposes. They also include EAL for health care aides, allied healthprofessionals, nurses and physicians. These classes focus on language and

information for settlement and employment in Manitoba.

There are many other programs at different locations that offer language andcommunication classes for people in various other professions. Some ofthese include: teachers, engineers, accountants, and customer servicerepresentatives. WELARC can tell you about the current programs.

The English Skills Centre offers classes to help you improve specific skillareas: speaking, listening, reading and writing. These classes are forprofessional immigrants.

You can find the contact information for these and other EAL programs on theManitoba Labour and Immigration website:http://www.gov.mb.ca/labour/immigrate/eal/learners/programswpg.html

Note: Before you register in any EAL program, you will need a CLB assessment.(See section 1.1.) If you contact programs directly, they will ask you to contact

WELARC. Call 943-5387 for an appointment.
http://www.gov.mb.ca/labour/immigrate/eal/learners/programswpg.htmlhttp://www.gov.mb.ca/labour/immigrate/eal/learners/programswpg.htmlhttp://www.gov.mb.ca/labour/immigrate/eal/learners/programswpg.htmlhttp://www.gov.mb.ca/labour/immigrate/eal/learners/programswpg.html

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5.2 Employment Supports

No matter what decision you make about your professional future in Canada and thepath you choose toward your career goals, you may need some support andguidance in your job searches. There are several organizations that help

newcomers to Manitoba.

1. The table on the next page is a summary of some of the services andorganizations that help you integrate and find employment. Many of theseservices are especially for immigrants and newcomers to Canada. They are freeof charge. You can access them at any time while you are working on the othersteps in your career plan. The details of the specific services may change overtime, so you should contact each organization for details.

2. This section also contains a list of useful websites that can help with jobsearches, including employment agencies.

3. The RHA and the hiring institutions supply the job offers for physicians. See the

Heath Employment website at www.heathemployment.ca to contact prospectiveemployers. Candidates will also be added to an Opportunities List if they eligiblefor a job offer. Regions and employers on the Health Employment websitereceive this list.

4. Finally, there are employment supports for employers that you should knowabout. They are summarized in the next pages.

Cost: There is no cost for the support programs for immigrants funded by theProvince of Manitoba, Department of Labour & Immigration.

There is no cost for services offered through Employment Centres of the

Government of Canada and the Government of Manitoba.

Programs or services offered through employment agencies may have a cost.

Timeline: The times and lengths of programs and services vary. Contact theorganization for up-to-date information.
http://www.heathemployment.ca/http://www.heathemployment.ca/

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Page 45

Employment Support Organizations for Immigrants

ORGANIZATION AREAS OF SERVICE ADDITIONAL INFORMATION

Employment Manitoba (Provinceof Manitoba)

In Winnipeg:

1122 Henderson Hwy3338 Portage Ave.1031 Autumnwood Drive391 York Ave.

http://www.manitoba.ca/employment/jobs_careers.html

Career counselling Job vacancy listings

Labour market information and jobsearch assistance

Information/referral to otheremployment and training servicesand programs

Access to computers for resumewriting and job search

Access to fax machine

Employment Manitoba is agovernment service. It also

offers specialized servicesto persons receivingEmployment Insurancebenefits, job-threatenedpersons, persons onIncome Assistance, andlow-income families withchildren.

Success Skills Centre

440-500 Portage Ave.Winnipeg, MB R3C 3X1

Tel: 975-5111Fax 975-5108email: [email protected]

Resume & cover letter writing Interview skills Job search techniques & self-

marketing Labour market information Assistance with the credentials

recognition process Opportunities for 6-week unpaid

work experience placements Counselling & workshops Workspace and computers with

Internet access.

Success Skills Centreworks primarily withprofessional and highly-skilled immigrants, whohave their education and

professional experiencefrom outside of Canada.

Clients need CLB 5 +

First-time users will attenda 2-hour orientation sessionon the first Thursday ofeach month. Call toregister.

Employment Projects ofWinnipeg, Inc.

990-167 Lombard Ave.Winnipeg, MB R3B 0V3Tel: 949-5300 or 949-5323Fax 944-9918www.epw.ca

Individual assessment &employment counselling

Training & development

workshops Resume & cover letter writing Interview skills Career planning & job search

techniques Labour market information Assistance with volunteer and

permanent job placements Workspace and computers with

Internet access

Employment Projects ofWinnipeg offersemployment preparation

and job search programsfor newcomers.

Clients need CLB 5 +

Orientations are held on the3rd Thursday of eachmonth. Call to register.

Services are offered in 13languages.

International Centre of Winnipeg

406 Edmonton St.

Winnipeg, MB R3B 2M2Tel: 943-9158Fax: 949-0734Email:[email protected]

www.international-centre.ca

Employment orientation & labourmarket information

Pre-employment counselling and

career planning Job search skills Workplace expectations Workspace and computers with

Internet access Focus on entry-level transition jobs

The International Centreoffers settlement orientationand support for immigrants.

Clients need to CLB 3 to 4

They also offer employmentservices, vocational andeducational counselling.
mailto:[email protected]://www.successskills.mb.ca/http://www.epw.ca/mailto:[email protected]://www.international-centre.ca/http://www.international-centre.ca/mailto:[email protected]://www.epw.ca/http://www.successskills.mb.ca/mailto:[email protected]

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Page 46

Job Search Websites and other Information

Service Canada Job Bank: This is a very large and comprehensive databaseof available positions from employers in private industry all across Canada.

www.jobbank.gc.ca

Manitoba Health does not provide job placement services, but you can searchfor jobs in the health care field in Manitoba: web3.gov.mb.ca/healthcareers.

Manitoba Health will also put IMGs eligible for conditional registration on anOpportunities List (see 5.2 Employment Supports).

Regional Health Authorities Recruiters List:www.healthemployment.ca/pra_cont.html

Most companies or institutions also have internet websites which you can useto learn more about the company, and search career postings within thecompany.

Job postings in government:Government of Canada: http://jobs.gc.ca

Province of Manitoba: www.gov.mb.ca/csc/employment/jobs.html

City of Winnipeg: www.winnipeg.ca/hr

If you do not have Internet access, you can use these computers at no cost at thefollowing Winnipeg locations:

Employment Manitoba Centres: 391 York Ave., 1122 Henderson Hwy,

1031 Autumnwood Drive, or 3338 Portage Ave.

Millennium Library, 251 Donald Street

Osborne Village Resource Centre, 445-B River Ave.

Kildonan Place Shopping Centre, 1555 Regent Ave. W.

Winnipeg Technical College, 130 Henlow Bay or 1551 Pembina Hwy

Garden City Shopping Centre, 2305 McPhillips St. Employment Projects of Winnipeg, 990-167 Lombard Ave.

Success Skills Centre, 440 500 Portage Ave.

University of Manitoba, various locations

University of Winnipeg, various locations

Job Works, 1175 Pembina Hwy.
http://www.jobbank.gc.ca/http://web3.gov.mb.ca/healthcareers/http://www.healthemployment.ca/pra_cont.htmlhttp://jobs.gc.ca/http://www.gov.mb.ca/csc/employment/jobs.htmlhttp://www.winnipeg.ca/hr/http://www.winnipeg.ca/hr/http://www.gov.mb.ca/csc/employment/jobs.htmlhttp://jobs.gc.ca/http://www.healthemployment.ca/pra_cont.htmlhttp://web3.gov.mb.ca/healthcareers/http://www.jobbank.gc.ca/

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Page 47

Assistance for Employers

SPONSOR ASSISTANCE AVAILABLE ELIGIBILITY

Manitoba Labour &Immigration

Employers should contact:Credentials RecognitionProgram5

thFloor, 213 Notre Dame Ave.

Winnipeg, MB R3B 1N3Tel: 945-7305Fax: 948-2148Email: [email protected]

A wage subsidy is availablefor employers who provideemployment experiencerelated to your educationbackground. The assistancepaid to the employer is 40% ofthe employees wage, to amaximum of $4500. Someemployers may not be awareof this potential wage subsidy.Manitoba Labour &Immigration can give you aletter that explains theprogram. It can be helpful for

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